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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 344700053
Report Date: 11/27/2024
Date Signed: 12/02/2024 08:57:05 AM

Document Has Been Signed on 12/02/2024 08:57 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:SENIOR HELPERS SACRAMENTO/PLACERFACILITY NUMBER:
344700053
ADMINISTRATOR/
DIRECTOR:		LADY WUKMIRFACILITY TYPE:
300
ADDRESS:7700 SUNRISE BLVD STE 2900TELEPHONE:
(916) 671-5777
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: CENSUS: DATE:
11/27/2024
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Journey WukmirTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Enforcement Analyst (EA), Megan Vigil, with the Home Care Services Branch (HCSB) conducted an onsite inspection. EA Vigil met with Licesnee, Journey Wukmir.

During the inspection, the EA observed the posting of the license, operating business, and verified insurance requirements. EA Vigil, reviewed the personnel records to complete the file review.

During today’s visit, EA Vigil, found the HCO was in compliance and no deficiencies were cited. An exit interview was conducted, a copy of this report, staff records review report and the appeal rights were provided.
LICENSING EVALUATOR NAME: Megan Vigil
LICENSING EVALUATOR SIGNATURE: DATE: 11/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/27/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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